--- description: MediClaims : avantages et inconvénients. Lisez les avis clients, consultez les prix et découvrez les fonctionnalités. image: https://gdm-localsites-assets-gfprod.imgix.net/images/capterra/og_logo-e5a8c001ed0bd1bb922639230fcea71a.png?auto=format%2Cenhance%2Ccompress title: MediClaims - Avis, notes, prix et abonnements - Capterra Canada 2026 --- Breadcrumb: [Accueil](/) > [Logiciels de traitement des réclamations](/directory/30029/claims-processing/software) > [MediClaims](/software/25450/mediclaims) # MediClaims Canonical: https://fr.capterra.ca/software/25450/mediclaims Page : 1/2\ Suivant: [Page suivante](https://fr.capterra.ca/software/25450/mediclaims?page=2) > Un logiciel de gestion des réclamations et d'administration des avantages pour les compagnies d'assurance, les plans gouvernementaux, les TPA et les groupes autonomes. > > Conclusion : 18 utilisateurs lui ont donné la note de **3.9/5**. Figure au meilleur classement pour **Probabilité de recommander le produit**. ----- ## Statistiques et notes | Métrique | Notation | En détail | | **Note globale** | **3.9/5** | 18 Avis | | Simplicité | 3.9/5 | D'après l'ensemble des avis | | Support client | 4.4/5 | D'après l'ensemble des avis | | Rapport qualité-prix | 4.0/5 | D'après l'ensemble des avis | | Fonctionnalités | 3.8/5 | D'après l'ensemble des avis | | Pourcentage de recommandation | 70% | (7/10 Probabilité de recommander le produit) | ## À propos du vendeur - **Entreprise**: WLT Software - **Pays**: Clearwater, É.-U. - **Fondé**: 1979 ## Contexte commercial - **À partir de**: 1,00 $ US - **Type de licence**: (Version d’essai gratuite) - **Public cible**: 2–10, 11–50, 51–200, 201–500, 501–1 000, 1 001–5 000, 5 001–10 000, 10 000+ - **Déploiement et plateformes**: Cloud, SaaS, web, Windows (ordinateur) - **Langues**: anglais - **Pays disponibles**: Canada, États-Unis ## Fonctionnalités - Administration COBRA - Administration d'assurance vie - Administration de l'assurance invalidité - Administration de l'assurance maladie - Conforme HIPAA - Déclarations de sinistre électroniques - Facturation - Gestion client - Gestion de la conformité - Gestion des avantages des employés - Gestion des fournisseurs - Gestion des réclamations - Inscriptions aux avantages en ligne - Rapports et statistiques - Suivi de la conformité - Suivi des réclamations - Tableau de bord des avantages - Third-Party Integrations ## Ressources d'aide - Service client/courriel - Support téléphonique - Support 24/7 (réponse directe) - Chat/Clavardage ## Category - [Logiciels de traitement des réclamations](https://fr.capterra.ca/directory/30029/claims-processing/software) ## Catégories connexes - [Logiciels de traitement des réclamations](https://fr.capterra.ca/directory/30029/claims-processing/software) - [Logiciels de gestion des avantages sociaux](https://fr.capterra.ca/directory/10025/benefits-administration/software) - [Logiciels de facturation pour le secteur médical](https://fr.capterra.ca/directory/30026/medical-billing/software) - [Logiciels d'assurances](https://fr.capterra.ca/directory/20036/insurance-policy/software) ## Logiciels similaires 1. [Connecteam](https://fr.capterra.ca/software/153140/connecteam) — 4.6/5 (5120 reviews) 2. [Deel](https://fr.capterra.ca/software/205015/deel) — 4.9/5 (4268 reviews) 3. [Rippling](https://fr.capterra.ca/software/172127/rippling) — 4.9/5 (4670 reviews) 4. [BambooHR](https://fr.capterra.ca/software/110968/bamboohr) — 4.6/5 (3211 reviews) 5. [Paylocity](https://fr.capterra.ca/software/86714/webpay) — 4.3/5 (1829 reviews) ## Avis ### "Mediclaims is a great platform for administration of group benefit plans" — 4.0/5 > **Jason** | *6 décembre 2023* | Hôpitaux et soins de santé | Taux de recommandation : 8.0/10 > > **Avantages**: The team behind MediClaims is second to none when it comes to customer service and engaging with you directly to solve your problems. The value and voice that WLT gives to the user community in the continued development and improvement of the platform is second to none when it comes to SAAS services. > > **Inconvénients**: The system interface has a lot of dropdowns and menu items that can become overwhelming for personnel who has not operated in a similar database type program. ----- ### "WLT Review" — 4.0/5 > **Denise** | *7 décembre 2023* | Bureau exécutif | Taux de recommandation : 9.0/10 > > **Avantages**: Ease of learning and using MediClaims with all departments > > **Inconvénients**: Turn around in customer service members. Alot of delay in responses. > > Over the 19 years. Pretty good. Within the last year, notice a different in customer service response time. ----- ### "Director Of Operations" — 3.0/5 > **Brenda** | *2 février 2022* | Assurance | Taux de recommandation : 6.0/10 > > **Avantages**: visibly easy on the eyes, does have some good improvements in the time that i have been here, less than a year. > > **Inconvénients**: takes long to get updates in place. we have job fails at our warehouse at least once a week ----- ### "Know the System" — 4.0/5 > **Victoria** | *23 février 2022* | Assurance | Taux de recommandation : 6.0/10 > > **Avantages**: I have worked on the claims side for about 4 years and use the system extensively for claims process, auto-adjudication, reporting, FSA, and fee scheduling. There is a learning curve when it comes to setting up the system to your specifications, but once you get enough time using it, it becomes intuitive finding issues and making the system work better for your process. We rarely have issues with claims processing and we generally find the auto-adjudication and the fee scheduling to be highly useful. > > **Inconvénients**: There are some aspects that could be fine tuned to be better utilized. The three that come to mind is Provider Maintenance, FSA, and Reports. While there is some customization available with Provider Maintenance as far as provider types go, there could be further customization when it comes to group level. Having options in Group Edit Specifications to pend tax ID numbers or only pend certain provider types instead of all providers types would go a long way in boosting our efficiency. FSA claims processing always seems to have issues. The syncing process is lengthy and must be done daily and even then there seems to be claims that get held up with Alegus. Most issues cause us to have to force pay claims and deal with grumbling members who are waiting on their checks. The Reports application leaves a lot to be desired. The reports that are available are pretty clunky and no reports can be converted to excel easily. It is best to run customized reports in excel or have a data manager build customized reports for you. > > GBS offers customized health plans to our clients and WLT has been able to keep up with most of our demands. The frequent updates allow us to continue to refine our processes and be more efficient - although the roll out could be smoother. ----- ### "90 degree benefits review of Mediclaims" — 4.0/5 > **Joseph** | *28 décembre 2021* | Assurance | Taux de recommandation : 7.0/10 > > **Avantages**: A very strong feature of the software lies in the easy access to data department. You can usually tell from one, or just two, screens the overall performance and life of a member and their claims > > **Inconvénients**: There are two: More robust voluntary benefit administration and EDI resources (I would consider EDI to be the weakest aspect of the system.) EDI is one I am most familiar with and I find the system to lack proper flexibility when it comes to both in and out EDI claims/eligibility. More options are required in order to put forth a professional face when implementing 834, 835 and 837 files. Examples would be the ability to control the major segments, such as using subgroup OR master group for Ref\*1L in an export. Or the ability to term and report by absence as well as report on such occurrences. The canned reports are barely useful for the level of reporting we, as well as our clients, require. We have had to spend considerable development time and resources to mange EDI reporting (such as discrepancy reporting) in a proper professional manner. > > Overall I have had a good experience working with MediClaims. The software does most of what we need and only lacks in flexibility and reporting options. ----- Page : 1/2\ Suivant: [Page suivante](https://fr.capterra.ca/software/25450/mediclaims?page=2) ## Liens - [Afficher sur Capterra](https://fr.capterra.ca/software/25450/mediclaims) ## Cette page est disponible dans les langues suivantes. | Langue | URL | | en | | | en-AE | | | en-AU | | | en-CA | | | en-GB | | | en-IE | | | en-IL | | | en-IN | | | en-NZ | | | en-SG | | | en-ZA | | | fr | | | fr-BE | | | fr-CA | | | fr-LU | | ----- ## Données structurées